{"id":"https://openalex.org/W2052235333","doi":"https://doi.org/10.4103/0970-9185.86613","title":"Difficult intubation in traumatic tongue bifurcation","display_name":"Difficult intubation in traumatic tongue bifurcation","publication_year":2011,"publication_date":"2011-01-01","ids":{"openalex":"https://openalex.org/W2052235333","doi":"https://doi.org/10.4103/0970-9185.86613","mag":"2052235333","pmid":"https://pubmed.ncbi.nlm.nih.gov/22096302","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3214574"},"language":"en","primary_location":{"id":"doi:10.4103/0970-9185.86613","doi":"https://doi.org/10.4103/0970-9185.86613","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0970-9185.86613","pdf_url":null,"source":{"id":"https://openalex.org/S2736688070","display_name":"Journal of Anaesthesiology Clinical Pharmacology","issn_l":"0970-9185","issn":["0970-9185","2231-2730"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anaesthesiology Clinical Pharmacology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4103/0970-9185.86613","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111758678","display_name":"VinitK Srivastava","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122887","display_name":"Apollo Hospitals","ror":"https://ror.org/03rcmhq47","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210122887"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"VinitK Srivastava","raw_affiliation_strings":["Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India","Dr. Vinit K Srivastava, Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh - 495 001, India. E-mail: [email\u00a0protected]"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India","institution_ids":["https://openalex.org/I4210122887"]},{"raw_affiliation_string":"Dr. Vinit K Srivastava, Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh - 495 001, India. E-mail: [email\u00a0protected]","institution_ids":["https://openalex.org/I4210122887"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071174342","display_name":"Sanjay Agrawal","orcid":"https://orcid.org/0000-0002-2806-1943","observed_orcids":["https://orcid.org/0000-0002-2806-1943"]},"institutions":[{"id":"https://openalex.org/I4210122887","display_name":"Apollo Hospitals","ror":"https://ror.org/03rcmhq47","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210122887"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sanjay Agrawal","raw_affiliation_strings":["Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India","institution_ids":["https://openalex.org/I4210122887"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111668249","display_name":"SunilKr Kedia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122887","display_name":"Apollo Hospitals","ror":"https://ror.org/03rcmhq47","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210122887"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"SunilK Kedia","raw_affiliation_strings":["Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India","institution_ids":["https://openalex.org/I4210122887"]}]},{"author_position":"last","author":{"id":null,"display_name":"Anuj Mohan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122887","display_name":"Apollo Hospitals","ror":"https://ror.org/03rcmhq47","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210122887"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Anuj Mohan","raw_affiliation_strings":["Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Apollo Hospitals Bilaspur, Chhattisgarh, India","institution_ids":["https://openalex.org/I4210122887"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5111758678"],"corresponding_institution_ids":["https://openalex.org/I4210122887"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"4","first_page":"565","last_page":"565"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13001","display_name":"Restraint-Related Deaths","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/difficult-intubation","display_name":"difficult intubation","score":0.8529999852180481},{"id":"https://openalex.org/keywords/difficult-airway-management","display_name":"difficult airway management","score":0.8140000104904175},{"id":"https://openalex.org/keywords/maxillofacial-trauma","display_name":"maxillofacial trauma","score":0.9120000004768372},{"id":"https://openalex.org/keywords/stay-sutures","display_name":"stay sutures","score":0.6010000109672546},{"id":"https://openalex.org/keywords/direct-laryngoscopy","display_name":"direct laryngoscopy","score":0.7319999933242798},{"id":"https://openalex.org/keywords/manual-in-line-stabilization","display_name":"manual in-line stabilization","score":0.6919999718666077},{"id":"https://openalex.org/keywords/cricoid-pressure","display_name":"cricoid pressure","score":0.656000018119812},{"id":"https://openalex.org/keywords/emergency-tracheal-intubation","display_name":"emergency intubation","score":0.75},{"id":"https://openalex.org/keywords/preoxygenation","display_name":"preoxygenation","score":0.6430000066757202},{"id":"https://openalex.org/keywords/traffic-accidents","display_name":"traffic accidents","score":0.4950000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9070218801498413},{"id":"https://openalex.org/C2778716859","wikidata":"https://www.wikidata.org/wiki/Q939018","display_name":"Intubation","level":2,"score":0.6547690629959106},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.6333743929862976},{"id":"https://openalex.org/C2779744641","wikidata":"https://www.wikidata.org/wiki/Q9614","display_name":"Tongue","level":2,"score":0.6232964992523193},{"id":"https://openalex.org/C2780978852","wikidata":"https://www.wikidata.org/wiki/Q286949","display_name":"Airway management","level":3,"score":0.6220582723617554},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5703366994857788},{"id":"https://openalex.org/C2776888792","wikidata":"https://www.wikidata.org/wiki/Q2357917","display_name":"Laryngoscopy","level":3,"score":0.5411732196807861},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4433706998825073},{"id":"https://openalex.org/C141983124","wikidata":"https://www.wikidata.org/wiki/Q188008","display_name":"Respiratory distress","level":2,"score":0.41532349586486816},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4103/0970-9185.86613","doi":"https://doi.org/10.4103/0970-9185.86613","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0970-9185.86613","pdf_url":null,"source":{"id":"https://openalex.org/S2736688070","display_name":"Journal of Anaesthesiology Clinical Pharmacology","issn_l":"0970-9185","issn":["0970-9185","2231-2730"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anaesthesiology Clinical Pharmacology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:3214574","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3214574/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3214574/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Anaesthesiol Clin Pharmacol","raw_type":"Text"},{"id":"pmid:22096302","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22096302","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of anaesthesiology, clinical pharmacology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:ff358b1bb096435e95a0b7b7745c878a","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/ff358b1bb096435e95a0b7b7745c878a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Anaesthesiology Clinical Pharmacology, Vol 27, Iss 4, Pp 565-566 (2011)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/0970-9185.86613","doi":"https://doi.org/10.4103/0970-9185.86613","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0970-9185.86613","pdf_url":null,"source":{"id":"https://openalex.org/S2736688070","display_name":"Journal of Anaesthesiology Clinical Pharmacology","issn_l":"0970-9185","issn":["0970-9185","2231-2730"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anaesthesiology Clinical Pharmacology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2052235333.pdf","grobid_xml":"https://content.openalex.org/works/W2052235333.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2134455713","https://openalex.org/W7095955779","https://openalex.org/W1597285803","https://openalex.org/W7160717981","https://openalex.org/W2403985299","https://openalex.org/W4405513349","https://openalex.org/W1484915142","https://openalex.org/W2041054874","https://openalex.org/W4229366992","https://openalex.org/W137925837"],"abstract_inverted_index":{"Sir,":[0],"Airway":[1],"management":[2,34,435],"of":[3,11,26,30,77,113,144,176,193,263,281,284,301,327,334,343,348,371,379,420,425,436,442,474,482,506,515,522,531,572,589],"the":[4,40,62,87,92,183,200,220,233,243,279,314,325,341,349,467,472,496,570],"multiple":[5],"trauma":[6,14,38,264,400,438],"patients":[7,15],"presents":[8],"a":[9,21,27,69,78,215,228,256,487,491,577],"series":[10,29],"challenges.[1]":[12],"Many":[13],"present":[16,593],"difficult":[17],"airways":[18],"that":[19,500,574],"require":[20],"different":[22,257],"approach":[23,258],"and":[24,43,52,72,91,126,129,139,151,179,209,240,273,287,299,312,377,381,410,480,508,518,534,552,580],"formulation":[25],"planned":[28,198,255],"steps":[31],"before":[32,199],"airway":[33,42,172,397,533],"is":[35,64,89],"initiated.":[36],"Maxillofacial":[37],"compromises":[39],"patient's":[41,93],"therefore":[44,254],"it":[45],"must":[46],"be":[47,463],"protected.[2]":[48],"Difficult":[49],"mask":[50,162,216,403,559],"ventilation":[51],"endotracheal":[53,195,322,350],"intubation":[54,196,260],"are":[55,389,415,511],"anticipated":[56],"in":[57,237,242,261,291,331,339,393,398,418,430,453,585],"such":[58,587],"patients.":[59],"In":[60],"addition,":[61],"patient":[63,201,364,524,547],"usually":[65],"regarded":[66],"as":[67,457,486,490],"having":[68],"\u201cfull":[70],"stomach\u201d":[71],"has":[73,471],"not":[74,247,451,460],"been":[75],"cleared":[76],"cervical":[79],"spine":[80,335],"injury.":[81],"The":[82,345,357,363,428,538],"time":[83],"available":[84],"to":[85,103,219,249,265,308,462,465,567,569,594],"accomplish":[86],"task":[88],"short":[90],"condition":[94],"may":[95,583,592],"deteriorate":[96],"rapidly.":[97],"A":[98],"28-year-old":[99],"man":[100],"was":[101,134,137,158,197,202,246,297,303,337,352,433,525,540,548],"brought":[102],"our":[104,431],"emergency":[105,205,367,434],"department":[106],"4":[107],"h":[108],"after":[109],"an":[110,512],"alleged":[111],"history":[112],"road-traffic":[114],"accident.":[115],"He":[116,136],"presented":[117],"with":[118,141,163,214,232,316,324,439,560],"head":[119],"injury,":[120],"traumatic":[121,440],"tongue":[122,169,177,231,286,373,443,507],"bifurcation":[123,170,441],"[Figure":[124,375],"1],":[125],"fractured":[127],"maxilla":[128,380],"mandible.":[130],"GCS":[131],"at":[132,575],"presentation":[133],"E2V3M5.":[135],"unconscious":[138],"irritable":[140],"heart":[142],"rate":[143,153],"120/":[145],"min,":[146],"blood":[147,180,241],"pressure":[148],"96/60":[149],"mmHg,":[150],"respiratory":[152],"30/":[154],"min.":[155],"Oxygen":[156],"saturation":[157,555],"90\u201393%":[159],"on":[160,447,527,557],"face":[161,558],"O2":[164,554,561],"flow":[165,562],"6":[166,563],"L/min.":[167,564],"Traumatic":[168],"causing":[171],"obstruction":[173],"by":[174,354],"folding":[175],"backward":[178],"trickling":[181],"into":[182],"oropharynx":[184,302],"caused":[185],"him":[186],"considerable":[187],"distress.Figure":[188],"1:":[189],"Two":[190],"cut":[191],"portions":[192,283,505],"tongueEmergency":[194],"shifted":[203,526],"for":[204,259,369,395],"computerized":[206],"tomography":[207],"scan":[208],"surgery.":[210],"After":[211,294,387,520,545],"adequate":[212],"preoxygenation":[213],"held":[217],"close":[218,292],"face,":[221],"we":[222,458,498],"performed":[223,298],"direct":[224],"laryngoscopy,":[225],"which":[226,470,591],"showed":[227],"traumatically":[229],"bifurcated":[230],"two":[234,275,282],"halves":[235],"moving":[236],"opposite":[238],"directions":[239],"oropharynx.":[244,266],"It":[245],"possible":[248],"visualize":[250],"laryngeal":[251,310,402,445],"inlet.":[252],"We":[253,267,305,449,565],"view":[262,446],"gave":[268],"Propofol":[269],"80":[270],"mg":[271],"intravenous":[272],"applied":[274,338],"stay":[276],"sutures":[277,502],"from":[278],"tip":[280],"injured":[285],"pulled":[288],"them":[289],"anteriorly":[290],"approximation.":[293],"that,":[295],"laryngoscopy":[296,517],"suctioning":[300],"done.":[304],"were":[306,450,459],"able":[307,464],"visualized":[309],"inlet":[311],"intubate":[313,466],"trachea":[315,539],"7.5":[317],"mm":[318],"ID":[319],"cuffed":[320],"nasal":[321],"tube":[323,351],"help":[326,584],"cricoid":[328],"pressure.":[329],"Manual":[330],"line":[332],"stabilization":[333],"(MILS)":[336],"both":[340],"attempts":[342],"laryngoscopy.":[344,448],"correct":[346],"placement":[347],"confirmed":[353],"chest":[355],"auscultation.":[356],"entire":[358],"process":[359],"took":[360],"60":[361],"seconds.":[362],"subsequently":[365],"underwent":[366],"craniotomy":[368],"evacuation":[370],"contusion/hematoma,":[372],"repair":[374],"2],":[376],"plating":[378],"mandible":[382],"under":[383],"general":[384],"anesthesia.Figure":[385],"2:":[386],"repairThere":[388],"various":[390],"approaches":[391,414],"described":[392],"literature":[394],"managing":[396,586],"facial":[399,437],"chiefly":[401],"airway,[3]":[404],"Glidescope,":[405],"fiberoptic":[406],"intubation,":[407,409],"submental/retrograde":[408],"tracheostomy.":[411],"However,":[412],"these":[413],"well":[416],"suited":[417],"cases":[419,590],"elective":[421],"surgeries":[422],"requiring":[423],"fixation":[424],"fracture":[426],"segments.":[427],"problem":[429],"case":[432],"obstructing":[444],"comfortable":[452],"administering":[454],"muscle":[455],"relaxant":[456],"sure":[461],"trachea.":[468],"Propofol,":[469],"property":[473],"jaw":[475],"relaxation,":[476],"decrease":[477],"pharyngeal":[478],"reflex":[479],"abduction":[481],"vocal":[483],"cords":[484],"seemed":[485],"better":[488,492],"alternative":[489],"alternative.[4]":[493],"On":[494],"reviewing":[495],"literature,":[497],"found":[499],"applying":[501],"over":[503],"lacerated":[504],"pulling":[509],"forward":[510],"acceptable":[513],"means":[514],"aiding":[516],"intubation.":[519],"completion":[521],"surgery":[523],"ventilator":[528],"support":[529],"because":[530],"compromised":[532],"impaired":[535],"consciousness":[536],"level.":[537],"successfully":[541],"extubated":[542],"next":[543],"morning.":[544],"extubation":[546],"conscious":[549],"but":[550],"drowsy":[551],"maintained":[553],"97\u201399%":[556],"wish":[566],"bring":[568],"notice":[571],"readers":[573],"times":[576],"little":[578],"innovation":[579],"quick":[581],"thinking":[582],"types":[588],"us.":[595]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2016-06-24T00:00:00"}
